NPI | 1912267840 |
---|---|
Former Name | BRIANNA MCDEVITT RAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CO DR.0060707) |
Additional Taxonomies | 208600000X Surgery (Licence: MI L2228770) |
Enumeration Date | 2012-05-25 |
Last Update Date | 2018-08-20 |